文体活动对50岁及以上社区慢性病人及高危人群健康干预效果研究  

Study on the intervention effect of recreational and sports activities on the health among chronic disease patients and high-risk groups over 50 years old in communities

作　　者：张宁[1] 周正元[1] 孙静[2] 沈苏英[3] 徐晓燕[1] 苏靖[1] 周犇[1] 

机构地区：[1]常熟市疾病预防控制中心,江苏常熟215500 [2]澳大利亚格里菲斯大学公共卫生研究所 [3]常熟市卫生监督所,江苏常熟215500

出　　处：《预防医学论坛》2015年第10期738-742,共5页Preventive Medicine Tribune

摘　　要：目的通过应用打太极、舞蹈、器乐演奏、唱歌等干预措施,观察其对慢性病及高危人群健康状况的影响,为进一步开展慢性病干预工作提供依据。方法于2013年9月将617名50岁及以上的社区慢性病患者和高危人群以自愿原则分成五组,分别为太极组、舞蹈组、器乐演奏组、唱歌组和对照组,干预组分别给予不同的课程,对照组参加与干预措施无关的其他课程,干预措施持续15个月,分析各组腰围、BMI、SBP、DBP、TG、TC、HDL-C、LDL-C、FBG等指标变化情况以及超重肥胖、代谢综合征变化情况。结果干预实施前,各干预组与对照组腰围、BMI、SBP、DBP、TG、TC、HDL-C、LDLC、FBG指标差异均无统计学意义(P>0.05)。干预后,太极组腰围、SBP、DBP、TC、FBG5项指标低于对照组(P<0.05);舞蹈组腰围、BMI、SBP、DBP、TG、TC、FBG7项指标低于对照组,HDL-C高于对照组(P<0.05);器乐组SBP、DBP、TC、FBG4项指标低于对照组(P<0.05),唱歌组SBP、TC2项指标低于对照组(P<0.05)。各干预组间,太极组、舞蹈组腰围方面低于器乐组、唱歌组(P<0.01);舞蹈组BMI、TG方面低于其它各干预组(P<0.01);太极组、器乐组DBP方面低于唱歌组(P<0.05);舞蹈组FBG方面低于太极组、唱歌组(P<0.01)。舞蹈组、太极组超重肥胖患病率低于对照组(13.04%vs 40.17%,28.38%vs 40.17%,P<0.05),且舞蹈组较其他3个干预组低(P<0.01)。舞蹈组、太极组代谢综合征患病率低于对照组(10.87%vs 38.46%,18.92%vs 38.46%,P<0.01)。结论对于代谢综合征相关指标,舞蹈的干预效果最明显,太极的干预效果次之,器乐演奏在降低SBP、DBP、TC、FBG方面有效,唱歌组能够降低SBP和TC,舞蹈和太极在防制超重肥胖方面有效,并可明显降低代谢综合征患病率。Objective To use the interventions such as Taiji,dancing,playing musical instrument,singing,and others to observe the effect on the health of chronic disease patients and high-risk groups in communities, so as to provide basis for intervention of chronic diseases. Methods In September 2013,617 patients over 50 years old with chronic diseases or high-risks were divided into five groups with voluntary principle. In the intervention groups,Taiji, dancing, playing musical instrument,singing and different courses were given. In the control group,other courses and independent interventions were given. The whole intervention lasted 15 months. Analysis was made on the changes such as waist circumference, BMI,SBP,DBP,TG,TC, HDL-C,LDL-C,FBG,overweight and obesity,metabolic syndrome in each group. Results Before the intervention, the difference of waist circumference, BMI, SBP, I）BP, TC, HDL C, LDL-C, TG, FBG between the intervention groups and the control group was not statistically significant （ P 〈0.05）. After the intervention, 5 indicators including waist circumference, SBP, DBP, TC,and FBG in the Taiji group were significantly lower than those in the control group（ P 〈0.05） ; 7 indicators including waist circumference, BMI, SBP, DBP, TG, TC, and FBG in the dancing group were significantly lower than those in the control group,and only HDL-C was significantly higher than that in the control group（ P 〈0.05）;4 indicators including SBP, DBP, TC, and FBG in the playing musical instrument group were significantly lower than those in the control group（ P 〈0.05） ;2 indicators including SBP and TC in the singing group were sig nificantly lower than those in the control group（ P 〈0.05）. In the intervention groups, the waist circumference in the Taiji group and the dancing group was significantly lower than that in the playing music instrumental group and the singing group（ P 〈0. 01）. BMI and TG in the dancing group were significantly lower than those in the other interventiongroups（ P 〈

关 键 词：太极 舞蹈 器乐演奏 唱歌 代谢综合征 

分 类 号：R544.1[医药卫生—心血管疾病]